Pinned
findings straight out of the textbook 😮
André Martin Mansoor
@AndreMansoor
Clinician. Author of #FrameworksForInternalMedicine. Cofounder pdxpdx.com. youtube.com/c/AndréMansoor
- 1/11 A 55 y/o man presents for evaluation of chronic diarrhea. We walk into the room to meet him. We have an opportunity to make an “augenblick” diagnosis – one that can be made in the blink of an eye.
00:00 - 1/19 A middle-aged man presents with acute sudden-onset dyspnea and hypotension. He is sitting upright. What do you notice? Let’s see if we can figure out the cause of hypotension.
00:00 - 1/8 A young man presents with dyspnea. We start with his hands. My hand is gloved in the second photo (for frame of reference, I can palm a basketball). Our patient has a finding that should generate a hypothesis.
- 1/10 A 26 y/o woman presents with migratory arthritis. Started with a red and hot foot/ankle. Then went to the knee. Overuse, she was told. When ice/rest did not help, she went to the hospital. An arthrocentesis procedure was performed.
- 1/8 A young man is admitted to the hospital with malaise and fever. We examine his hands and feet and find these nontender hemorrhagic macules.
- Scratch test for organomegaly. First do a "control". Won't hear scratching until very close to scope. Next put scope over organ (eg, spleen). Now you'll hear scratching when you reach edge of the organ (much farther from scope vs control). The organ "carries" the sound to scope.
00:00 - 1/8 This previously healthy woman presents with fatigue and weight gain. We walk into the room to meet her. What findings are present? These findings should generate a hypothesis.
- 1/10 A young man presents with hematuria and is found to have these painful skin lesions on physical exam.
